| NPI | 1154600146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01407200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 030652) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2020-03-17 |